Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.23 / $973.23 / $973.23	Facility		$973.23	$973.23	$973.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.06 / $973.23 / $1,619.23	Professional		$919.06	$973.23	$1,619.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,060.58 / $1,060.58 / $1,060.58	Professional		$1,060.58	$1,060.58	$1,060.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,629.05 / $2,618.04 / $3,422.91	Professional		$1,629.05	$2,618.04	$3,422.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.15 / $1,207.83 / $1,333.55	Facility		$465.15	$1,207.83	$1,333.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $1,207.83 / $1,308.25	Professional		$881.72	$1,207.83	$1,308.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $968.10 / $1,559.00 / $3,416.67	Facility		$968.10	$1,559.00	$3,416.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,223.00 / $1,223.00 / $1,315.00	Professional		$1,223.00	$1,223.00	$1,315.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,470.07 / $1,470.07 / $1,470.07	Professional		$1,470.07	$1,470.07	$1,470.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.55 / $1,055.55 / $1,055.55	Facility		$1,055.55	$1,055.55	$1,055.55
United Facility/Professional Professional Modifier Low / Median / High Price $803.61 / $1,075.67 / $1,452.95	Professional		$803.61	$1,075.67	$1,452.95